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Early dumping syndrome is not a complication but a desirable feature of Roux-en-Y gastric bypass surgery

Artikel i vetenskaplig tidskrift
Författare Anna Laurenius
My Engström
Publicerad i Clinical Obesity
Volym 6
Nummer/häfte 5
Sidor 332-40
ISSN 1758-8111
Publiceringsår 2016
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning
Sidor 332-40
Språk en
Länkar dx.doi.org/10.1111/cob.12158
https://gup.ub.gu.se/file/205061
Ämnesord Dumping syndrome, psychological adaptation/coping skills, qualita- tive research.
Ämneskategorier Annan medicin och hälsovetenskap

Sammanfattning

Early dumping syndrome after gastric bypass surgery due to rapid delivery of hyperosmolar nutrients into the bowel causing intense symptoms is often described as a complication. Twelve patients, mean age 47 years, were interviewed approximately 9 years post-operation. The interviews were audiotaped and transcribed verbatim, followed by an inductive content analysis to reveal patients' experience of the dumping syndrome. The core category 'Dumping syndrome is a positive consequence of Roux-en-Y gastric bypass surgery and a tool to control food intake' was identified based on the following four sub-categories: (i) 'The multidimensional emergence and effects of dumping syndrome', (ii) 'Dumping syndrome as something positive although unpleasant', (iii) 'Developing coping mechanisms and ingenious strategies' and (iv) 'My own fault if I expose myself to dumping syndrome'. From the patients' perspective, dumping syndrome gives control over food intake; although the symptoms were unpleasant, patients considered dumping syndrome as a positive protection against over-consumption. Hence, healthcare professionals should not present dumping syndrome as a complication but rather as an aid to control eating behaviour and excessive food intake.

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